Peoria Weightloss, LLC

NPI #1912342569 in Peoria, Illinois

Provider Information

NPI Number
1912342569
Entity Type
Organization
Organization Name
Peoria Weightloss, LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
May 8, 2013
Last Updated
May 8, 2013

Practice Location

Address
2426 W CORNERSTONE CT STE 100
City
Peoria
ZIP Code
61614-2400
Phone
(309) 966-3137

Authorized Official

Name
MR. KURTIS FREIDAG
Title
OWNER
Phone
(309) 966-3137

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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Provider Name
Proctor Health Systems

Part of Proctor Health Systems

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